Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Senior Doc South Dakota PC

Organization Family Medicine Physician · NPI 1669227997

Senior Doc South Dakota PC provides Family Medicine Physician services in Orange, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2592 N Santiago Blvd
Orange, CA 92867-1862
Phone: (855) 434-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669227997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Geiss — Ceo · (855) 434-7763
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address2592 N Santiago Blvd, Orange, CA 92867-1862

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